DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sbisa, Robert Paul	DOIID	598598	NAIC NPN	2738056

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/18/2004	4/1/2013
Inactive	Non Resident	Agent	Life	11/18/2004	4/1/2013
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/1/2004	4/1/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/1/2004	4/1/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	2/21/2005	4/1/2013
Inactive	Medlink Inc	400721	Agent - Life	2/21/2005	4/1/2013
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	2/9/2011	4/1/2013
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	2/9/2011	4/1/2013
Inactive	Wells Fargo of California Insurance Services, Inc.	525997	Agent - Health	1/7/2005	3/5/2010
Inactive	Wells Fargo of California Insurance Services, Inc.	525997	Agent - Life	1/7/2005	3/5/2010